Provider Demographics
NPI:1801863147
Name:COONEY, SARAH PLATT (OTR)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:PLATT
Last Name:COONEY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 E LANSING RD
Mailing Address - Street 2:
Mailing Address - City:BANCROFT
Mailing Address - State:MI
Mailing Address - Zip Code:48414-9722
Mailing Address - Country:US
Mailing Address - Phone:989-634-8172
Mailing Address - Fax:
Practice Address - Street 1:3544 MERIDIAN CROSSINGS
Practice Address - Street 2:SUITE 160
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-6025
Practice Address - Country:US
Practice Address - Phone:517-347-2495
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201004787225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist